Anaesthetic Management of Neonate with Giant Occipital Meningoencephalocele: Case Report

Dr. Rajan Pandya, Dr. Suman Sahu, Dr. Olvyna D'Souza, Dr. Samrajni Ganguly

Abstract: Meningoencephalocele is herniation of cerebrospinal uid, brain tissue and meninges through the skull defect. The anaesthetic management of occipital meningoencephalocele is chal- lenging because of the difculty in securing airway, prone position, blood loss and, perioperative care. The two major aims of the anaesthesiologists while caring for children with occipital encephalocoele intraoperatively are to avoid premature rupture of the encephalocoele and to man- age a possible difcult airway due to restricted neck movement and inability to achieve optimal position for intubation of the trachea. We report a case of giant occipital meningoencephalocele presented for surgical excision. Perioperative management of patients with giant meningoen- cephalocele may be challenging for both anaesthesiologist and neurosurgeon. These patients must be managed closely with an interdisciplinary approach.

Keywords: Meningoencephalocele, Occipital, Anaesthesia, Prone position, Difficult intubation